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General NPI Number Information
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NPI Number | 1700559853
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Entity Type | Individual
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Provider Name | ADITI DHAVAL SHAH PT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 7548 PRESTON RD STE 145
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City | FRISCO
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State | TX
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Zip | 75034-5684
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Country | US
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Telephone | 972-712-9693
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Fax | 972-712-9625
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Provider Business Mailing Address
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Address Line | 6320 BEAR LAKE RD
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City | FRISCO
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State | TX
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Zip | 75036-1086
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Country | US
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Telephone | 425-362-8685
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1345660
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License Number State | TX
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